SUNNY IVANYI


Address: 3300 Foothill Blvd., Glendale, Glendale, CA 91224
Phone: 8186405004

SUNNY IVANYI (NPI# 1740411768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740411768
Entity Type Individual
Full Name SUNNY IVANYI
Practice Address 3300 Foothill Blvd.
Glendale
Glendale
CA 91224
Mailing Address 3300 Foothill Blvd
Glendale
Glendale
CA 91224
Practice Telephone 8186405004
Enumeration Date 2009-08-07
Last Update Date 2010-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125K00000X Advanced Practice Dental Therapist 265 CA Dental Providers

Office Location

Street Address 3300 FOOTHILL BLVD.
GLENDALE
City GLENDALE
State CA
Zip Code 91224

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Taxonomy Information

Taxonomy Code 125K00000X
Grouping Dental Providers
Classification Advanced Practice Dental Therapist

Taxonomy Definition

An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538760459 Carlos Heriberto Quinonez Advanced Practice Dental Therapist 16077 Chella Dr, Hacienda Heights, CA 91745-6402 2020-11-06
1033753298 Lynnette Bradley Advanced Practice Dental Therapist 4218 Giles Ct, Riverside, CA 92503-3154 2019-10-31
1598314023 Peter Korn Advanced Practice Dental Therapist 11135 Rosemary Dr, Auburn, CA 95603-5945 2019-09-06
1154982395 Evelyn Marie Schrager Advanced Practice Dental Therapist 803 E Woodhaven Ln, Fresno, CA 93720-1209 2019-06-27
1558828160 Charon Moody Advanced Practice Dental Therapist 727 E Holborn Dr, Carson, CA 90746-2328 2019-03-01
1104371368 Marie Ekins Rdhap Corp Advanced Practice Dental Therapist 10831 Canelo Rd, Whittier, CA 90604-1902 2016-08-17
1922484682 Travis Tramel Advanced Practice Dental Therapist 4199 Flat Rock Dr, Suite 127, Riverside, CA 92505-7115 2015-08-05
1851774186 Terri De La Pena Advanced Practice Dental Therapist 10011 Shaggybark Dr, Santee, CA 92071-1136 2015-07-06
1720470230 Christine Jackson-bartolomei Advanced Practice Dental Therapist 4806 Darlington Ln, Sacramento, CA 95835-2000 2015-02-21
1356753826 Megan Ellen Graff Advanced Practice Dental Therapist 6084 Gold Spirit St, Eastvale, CA 92880-0988 2014-06-02
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Competitor

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City GLENDALE
Zip Code 91224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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